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1760609812
AMY S. VANDERWIELEN
GREEN BAY, WI
NPI
1760609812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WI 1866029)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Ms. AMY S. VANDERWIELEN RD,CD
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-3205
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Mailing Address
Ms. AMY S. VANDERWIELEN RD,CD
530 VAN BUREN ST
LITTLE CHUTE, WI 54140-1921
Phone number:
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